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Individual
MR. ROBERT FAILLACE
Active
Individual
MR. ROBERT FAILLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD, CCC/A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1380
CA
237600000X
Audiologist-Hearing Aid Fitter
AU1380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU0013800
BLUE SHIELD
CA
01
—
AU1380
BLUE CROSS
CA
Enumeration date
07/26/2006
Last updated
12/03/2024
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